Technique Chart DHS/DCS One-Step Insertion Wrench. For use with DHS/DCS One-Step Lag Screws.
DHS/DCS One-Step Insertion Wrench DHS Triple Reamer (338.13) Assembly 338.10 8.0 mm Drill Bit 338.11 DHS Reaming Head Triple Reamer Nut 1. Insert the cutting end of the DHS reaming head over the back end of the 8.0 mm drill bit. 2. Set the back end of the DHS reaming head at the measurement marker on the DHS drill bit which corresponds to the desired measurement determined by the DHS/DCS direct measuring device. 3. Slide the DHS triple reamer nut onto the threaded portion of the DHS reaming head and fasten tightly. DHS/ DCS One-Step Insertion Wrench Assembly Coupling Screw 338.31 Wrench 338.302 DHS Plate 281.xxx Centering Sleeve 338.32 DHS Lag Screw 280.2xx 280.3xx Surgical Technique 1 Insert the variable angle guide for DHS to the desired angle. Insert the tip of the 2.5 mm threaded guide wire to the subchondral bone in the femoral head. 900.723 2.5 mm Threaded Guide Wire 2 Use the DHS/DCS direct measuring device to determine the length of the guide wire. Note: To determine reaming depth and lag screw length, subtract 10 mm from the reading. 338.05 DHS/ DCS Direct Measuring Device 3 Ream the hole for the lag screw and plate over the correctly positioned guide wire. (See reamer assembly above.) 338.17 DHS/ DCS Tap 338.18 Centering Sleeve 4 Insert the coupling screw into the One-Step insertion wrench and slide the DHS plate onto the shaft of the wrench. 338.302 One-Step Insertion Wrench 338.31 Coupling Screw 5 Select the appropriate length lag screw and place on the end of the wrench; the flats of the lag screw must be aligned with the flats on the wrench. Thread the coupling screw into the end of the lag screw. 6 Place the centering sleeve onto the wrench between the lag screw and the plate. 338.32 Centering Sleeve 10 mm The tip will be 10 mm from the tip of the guide wire 7 Slide the assembly over the 2.5 mm guide wire and into the reamed hole. 8 Turn the wrench clockwise until the back of the lag screw is seated in the lateral cortex (as observed through the window on the centering sleeve). Align the wrench handle with the long axis of the femoral shaft. 9 To remove the centering sleeve from the wrench, twist the inner and outer sleeves in opposite directions. 10 Advance the side plate along the shaft of the wrench and manually insert the barrel into the reamed hole. Seat the plate with the DHS/DCS impactor. Make certain that the wrench shaft lies in the channel of the impactor. Affix the plate to the proximal femur with 4.5 mm cortex screws, using standard AO technique.
DHS/DCS One-Step Insertion Wrench for implantation 312.46 4.5 mm/3.2 mm Double Drill Sleeve 338.31 DHS/ DCS Coupling Screw 314.11 Holding Sleeve 338.32 DHS/ DCS Centering Sleeve 314.27 Large Hexagonal Screwdriver 319.10 Depth Gauge for large screws 338.05 DHS/DCS Direct Measuring Device 338.302 DHS/ DCS One-Step Insertion Wrench 338.08 DHS/ DCS T-Handle with quick coupling 338.730 4.5 mm/3.2 mm Insert Drill Sleeve 338.13 DHS Triple Reamer 338.740 6.0 mm/4.5 mm Drill Sleeve 338.17 Tap for DHS/DCS 338.750 DHS Parallel Drill Guide 338.25 Small Impactor Tip 900.723 2.5 mm Threaded Guide Wire
Set Components DHS One-Step Basic Set (105.839) 690.348 DHS/ DCS One-Step Basic Set Graphic Case 4.5 mm Cortex Screws, self-tapping 214.828 28 mm, 3 ea. 214.842 42 mm, 8 ea. 214.830 30 mm, 3 ea. 214.844 44 mm, 6 ea. 214.832 32 mm, 8 ea. 214.846 46 mm, 6 ea. 214.834 34 mm, 8 ea. 214.848 48 mm, 3 ea. 214.836 36 mm, 8 ea. 214.850 50 mm, 3 ea. 214.838 38 mm, 8 ea. 214.852 52 mm, 3 ea. 214.840 40 mm, 10 ea. 214.854 54 mm, 3 ea. 292.20 2.0 mm Kirschner Wire, 150 mm, trocar point, (10/pkg.),1 pkg. 310.31 3.2 mm Drill Bit, quick coupling, 145 mm, 2 ea. 310.44 4.5 mm Drill Bit, quick coupling, 145 mm, 2 ea. 311.44 T-Handle with quick coupling 311.46 Tap for 4.5 mm Cortex and 4.5 mm Shaft Screws, 130 mm, 57 mm tap depth, 2 ea. 312.46 4.5 mm/ 3.2 mm Double Drill Sleeve 314.11 Holding Sleeve 314.15 Large Hexagonal Screwdriver Shaft 314.27 Large Hexagonal Screwdriver 319.10 Depth Gauge for large screws 319.97 Screw Forceps 322.43 4.5 mm DCP Hip Drill Guide, neutral and load, 60 mm 338.05 DHS/ DCS Direct Measuring Device, 200 mm length 338.08 DHS/ DCS T-Handle, with quick coupling 338.13 DHS Triple Reamer, complete 338.17 Tap for DHS/DCS, 12.5 mm dia., 220 mm 338.18 DHS/ DCS Centering Sleeve, short 338.25 Small Impactor Tip 338.302 DHS/ DCS One-Step Insertion Wrench 338.31 DHS/ DCS Coupling Screw (for 338.302) 338.32 DHS/ DCS Centering Sleeve (for 338.302) 338.44 DHS Reaming Head, for DHS Triple Reamer 338.730 4.5 mm/ 3.2 mm Insert Drill Sleeve 338.740 6.0 mm/ 4.5 mm Drill Sleeve 338.750 DHS Parallel Drill Guide 900.723 2.5 mm Threaded Guide Wire, 230 mm, 10 ea. DCS One-Step Implant Set (105.321) 304.295 DCS One-Step Universal Implant Set Graphic Case 280.251 DHS/ DCS One-Step Lag Screws, 12.7 mm thread, 280.275 50 mm 75 mm, 2 ea. (5 mm increments) 280.990 DHS/DCS Compression Screw, 36 mm, 6 ea. 95 DCS Plates 281.960 6 holes, 2 ea. 281.925 12 holes, 1 ea. 281.980 8 holes, 2 ea. 281.930 14 holes, 1 ea. 281.900 10 holes, 2 ea. 281.940 16 holes, 1 ea. DHS/DCS One-Step Basic Set (105.833) Includes contents of DHS One-Step Basic Set (105.839), plus: 338.41 95 DCS Drill Guide 338.47 DCS Reaming Head DHS One-Step Implant Set (105.352) 690.344 DHS One-Step Implant Set Graphic Case 280.265 DHS/DCS One-Step Lag Screws, 12.7 mm 280.325* thread, 65 mm 125 mm (5 mm increments) 280.990 DHS/DCS Compression Screw, 36 mm, 3 ea. 130 DHS Plates, standard barrel 281.040 4 holes 281.050 5 holes 281.060 6 holes 135 DHS Plates, standard barrel 281.140 4 holes 281.150 5 holes 281.160 6 holes, 140 DHS Plates, standard barrel 281.240 4 holes 281.250 5 holes 281.260 6 holes 145 DHS Plates, standard barrel 281.340 4 holes 281.350 5 holes 281.360 6 holes 281.440 150 DHS Plate, standard barrel, 4 holes 281.540 135 DHS Plate, short barrel, 4 holes 281.869 Trochanter Stabilization Plate, 138 mm, 2 ea. 281.870 Trochanter Stabilization Plate, 148 mm, 2 ea. Also Available 105.355 DHS Supplemental Implant Set 105.839J DHS One-Step Basic Set with self-tapping screws Jacobs chuck 105.352S DHS One-Step Implant Set, sterile (no graphic case) 338.005 130 DHS Angle Guide 338.01 135 DHS Angle Guide 338.02 140 DHS Angle Guide 338.03 145 DHS Angle Guide 338.04 150 DHS Angle Guide 310.19 2.0 mm Drill Bit, quick coupling, 100 mm 310.20 2.0 mm Drill Bit, 85 mm, Jacobs chuck 312.48 4.5 mm/ 3.2 mm Insert Drill Sleeve 338.720 4.5 mm/ 2.0 mm Insert Wire Sleeve (for 338.750) 338.731 4.5 mm/ 2.8 mm Insert Wire Sleeve (for 338.750) 280.330 DHS/DCS One-Step Lag Screws, 12.7 mm 280.345* thread,130 mm 145 mm (5 mm increments) 280.651 DHS/DCS One-Step Lag Screws, 14.0 mm 280.745* thread, 50 mm 145 mm (5 mm increments) * Product numbers for 100 mm One-Step Lag Screws are 280.301 and 280.701. Note: For additional information, please refer to package insert. For detailed cleaning and sterilization instructions, please refer to http://us.synthes.comv/medical+commftiivunity/cleaning+and+sterilization.htm or to the below listed inserts, which will be included in the shipping container: Processing Synthes Reusable Medical Devices, Trays and Graphic Cases DJ1305 Processing Non-sterile Synthes Implants DJ1304
Synthes (USA) 1302 Wrights Lane East West Chester, PA 19380 Telephone: (610) 719-5000 To order: (800) 523-0322 Fax: (610) 251-9056 Synthes (Canada) Ltd. 2566 Meadowpine Boulevard Mississauga, Ontario L5N 6P9 Telephone: (905) 567-0440 To order: (800) 668-1119 Fax: (905) 567-3185 www.synthes.com 1997 Synthes, Inc. or its affiliates. All rights reserved. DCP, DCS, DHS and Synthes are trademarks of Synthes, Inc. or its affiliates. Printed in U.S.A. 8/10 J2202-G